Rudowsky, Mary Jane

Rudowsky, Mary Jane is an sole proprietor health care provider with primary practice located at 24755 Chagrin Blvd 345, Beachwood OH 44122-5682. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rudowsky, Mary Jane can be contacted via phone (216) 464-0778.

Contact Information

Primary practice address
24755 Chagrin Blvd 345 Beachwood OH 44122-5682
Phone: (216) 464-0778
Fax: (216) 765-1461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN166982 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X COA1145NP Ohio

Profile Details

NPI number 1689996274
LBN Legal business name Rudowsky, Mary Jane
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2010
Last updated Jul 5th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689996274 NPPES
Ohio MEDICAID 3085012

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